Checklist For Action in the Regional/Field Office

APPOINTMENT PROCESSING CHECKLIST

Name Mark Gemmuel Azogue Durante
Position Title Police Staff Sergeant SG/Step: 14-2
Monthly
Compensation 32,114.00 Daily Compensation (Casual) N/A

Agency PHILIPPINE NATIONAL POLICE - PRO CALABARZON Sector : LGU GOCC NGA SUC

AREA CRITERIA YES NO REMARKS

(Provide specific details)
Qualification
Standards 1 Education: Bachelor's Degree √ Bachelor of Science in Criminology
Does the appointee 2 Experience: 2 years as PO2/ PCpl √ 5 years
meet the minimum
qualification
requirements of the 3 Training: PSJLC, SAF Commando Course, Special Forces Course, Scout Ranger Course, Reconnaissance Course, PSFTP/PSBRC, AFP Basic Recruit Training √ Public Safety Basic Recruit Course
Course (AFPBRTC), Soldier's Candidate Course and Basic Military Course (per NAPOLCOM Res. No. 2005-408), Constabulary Junior NCO Course
position at the time
of issuance of
appointment? 4 Eligibility: PO (1992 onwards), RA 1080, RA 6506, PD 907, CSP, CSC PO Exam (July 1998 onwards), PO3rd Class etc.. √ RA 6506
Other Requirements (e.g. Age/Residency for LGU Dept. Heads; Term of Office for SUC
5 President) √ N/A
Senior HS - Track/Strand Subjects (for DepEd appointments) √ N/A
6 Original Copy/ies of Appointment (3 copies)
i. CS Form No. 33-A Revised 2018 Appointment Form (Regulated) √ 3 Copies
7 Employment Status √ Permanent
8 Nature of Appointment √ Promotion
9 Signature of Appointing Authority √ PBGEN LUCAS
Common 10 Date of Signing √ March 15, 2024
Requirements for
Regular Certification of Publication/Posting of VACANT Position
11 (should be duly signed by the authorized HRMO) √ December 22, 2023 to January 3, 2024
Appointments
Certification by Chairperson of the HRMPSB or the Placement Committee
Are the following 12 (at the back of appointment) √ PCOL SURIBEN (March 6, 2024)
requirements
provided? Acknowledgement
13 Original/ Photocopy of appointment received by the appointee? √ March 15, 2024
Date of receipt indicated?
14 Properly filled-out Personal Data Sheet (CS Form 212, Revised 2017)
except for reappointment (renewal) to temporary, √ with Work Experience Sheet
contractual, substitute and provisional appointments
15 Is the agency accredited?
Submission and
Effectivity of i. NOT accredited, was the appointment (3 copies) submitted to the CSC with
supporting documents in the prescribed Appointment Transmittal Form (CS Form No. 1, √ N/A
Appointment
Revised 2018) within 30 calendar days from the date of issuance?
16 Erasures or alterations on the appointments
* Certification of Erasures/Alteration on appointment Form
(CS Form No. 3, s. 2017) signed by the Appointing Officer /Authority or √ N/A
Any Authorized Official

With decided administrative/criminal case

17 * Certified true copy of decision issued by the office/court/tribunal √ N/A
18 Discrepancy in name, date/place of birth
Additional
Requirements in * Resolution/Order issued by the Commission / CSC Regional Office
√
N/A
Specific Cases (CSCRO) concerned correcting the discrepancy
19 Change of Civil Status on account of:
Are the following
cases applicable? i. Marriage - Original Marriage Contract/ Certificate duly authenticated by
the Philippine Statistics Authority or the Local Civil Registrar) of the √
municipality /city where the marriage was registered or recorded N/A
ii. Annulment or Declaration of Nullity of the same - Authenticated copy of √
the Court Order and Marriage Certificate/Contract with annotation
20 Appointments issued by the SUCs under National Budget Circular (NBC) No. 461 √ N/A
Appointment issued for faculty positions/ranks in fields/courses/colleges in SUCs and LUCs where
21 there is dearth of holders of Master's degree in specific fields √ N/A
22 Appointments Requiring Board Resolution such as Head of Agency appointment by the
Board, SUC President, Local Water District (LWD) General Manager √ N/A
23 Ban on Issuance of Appointment During Election Period √ N/A
24 LGU Appointment √ N/A
Additional
Requirements in 25 Appointment involving Demotion
Specific Cases i. Non-Disciplinary in Nature √
* Certification issued by the agency head that the demotion is not
Are the following the result of an administrative case; and √ N/A
cases applicable
* Written consent by the employee that he/she interposes no objection to his/her
demotion √
26 Temporary and Appointment √ N/A
27 Reclassification √ N/A
ORIGINAL COPY OF AUTHENTICATED CERTIFICATE OF ELIGIBILITY/ RATING/ LICENSE
28 √ RA 6506/77.40%
Except if the eligibility has been previously authenticated in 2004 or onward and recorded by the CSC
29 Position Description Form (DBM-CSC Form No. 1, Revised 2017) √ March 15, 2024
30 Oath of Office (CS Form No. 32, Revised 2018) √ March 25, 2024
Documents 31 Certification of Assumption to Duty (CS Form No. 4, Revised 2018) √ March 15, 2024
Submitted 32 Performance Rating in the last period (Promotion or Transfer) √ 89.4 VS(IPER 2nd Sem/July 1 - December 31, 2023)
33 Justification (if the promotion is more than 3 SG) √ N/A
34 Electronic file stored in CD/flash drive or sent thru email + 2 printed copies of:
i. Appointment Transmittal and Action Form (ATAF) √
(CS Form No. 1 rev. 2018)

35 Others: √ N/A
CSC FO Recommendation:
APPROVAL/VALIDATION
DISAPPROVAL/INVALIDATION
OTHERS, specify:
Remarks (Indicate the reasons for disapproval/invalidation)

Evaluated: Verified: Recommended:

Name & Signature Name & Signature Name & Signature

Position title Position title Position title
Date: Date: Date:
APC Form - (Revised 2018)